Ọkpụkpụ spermocytogram

Ọkpụkpụ spermocytogram

spermocytogram bụ otu n'ime isi nyocha na nyocha nke ọmụmụ nwoke. Otu akụkụ dị mkpa nke nyocha spam, ọ na-agụnye ileba anya n'okpuru microscope morphology nke ihe atọ mejupụtara spermatozoa: isi, akụkụ etiti na flagellum.

Kedu ihe bụ spermocytogram?

spermocytogram bụ nyocha nke ezubere iji nyochaa ọdịdị ọdịdị nke spam, otu n'ime ihe sperm nke a mụrụ dịka akụkụ nke nlele ọmụmụ. Ọ na-enye ohere ịkọwa pasent nke ụdị ndị a na-ahụkarị, ya bụ na spermatozoa nke morphology nkịtị, ihe dị mkpa prognostic data iji kọwaa ohere nke fatịlaịza. na vivo (ime nwa ebu n'afọ) na na vivo. Ya mere, spermocytogram bụ otu n'ime isi ihe na-eduzi njikwa nke di na nwunye na insemination, classic in vitro Fertilization (IVF) ma ọ bụ Intracytoplasmic sperm injections (ICSI).

Kedu ka esi eme spermocytogram?

A na-eme spermocytogram n'ihe atụ nke mmanụ si n'aka nwoke ahụ. Iji nweta nsonaazụ a pụrụ ịdabere na ya, a ghaghị ime nchịkọta nke semen n'okpuru ọnọdụ siri ike:

  • achọpụtala oge nke abstinence mmekọahụ nke 2 ruo 7 ụbọchị, dị ka WHO ndụmọdụ nke 2010 (1);
  • ọ bụrụ na ahụ ọkụ, ọgwụ, X-ray, ịwa ahụ, a ga-eyigharị mkpokọta n'ihi na ihe omume ndị a nwere ike gbanwee spermatogenesis n'oge.

Nchịkọta na-ewere ọnọdụ n'ime ụlọ nyocha. N'ime ụlọ dịpụrụ adịpụ nke raara onwe ya nye, mgbe ọ sachara aka na glan nke ọma, nwoke ahụ na-anakọta spam ya n'ime karama na-adịghị mma, mgbe ịmechara onwe ya.

A na-etinye spam ahụ n'ime oven na 37 Celsius C maka nkeji 30, mgbe ahụ, a na-enyocha ihe dị iche iche spam: mkpokọta spam, mkpagharị ha, ike ha na ọdịdị ha.

Nke ikpeazụ a, ma ọ bụ spermocytogram, bụ oge kachasị ogologo na nke siri ike nke spermogram. N'okpuru microscope X1000, na nke edobere na nke nwere ntụpọ, ọkà mmụta ihe ndị dị ndụ na-amụ akụkụ dị iche iche nke spermatozoa iji chọpụta ihe ọ bụla na-adịghị mma:

  • ihe na-adịghị mma nke isi;
  • anomalies nke etiti akụkụ;
  • adịghị mma nke flagellum, ma ọ bụ akụkụ bụ isi.

Site na ọgụgụ a, ọkà mmụta ihe ndị dị ndụ ga-akọwapụta pasentị nke morphologically ahụkarị ma ọ bụ atypical spermatozoa, yana ihe omume nke a na-ahụ anya. 

Kedu ihe kpatara spermocytogram?

A na-eme spermocytogram dị ka akụkụ nke spermogram (nyochaa semen), nyocha nke enyere ndị nwoke n'usoro n'oge a na-enyocha ọmụmụ nke di na nwunye na-atụ aro maka ihe isi ike n'ịtụrụ ime.

Nyocha nke nsonaazụ spermocytogram

Nkewa abụọ dị maka nsonaazụ nke spermocytogram: nhazi David gbanwetụrụ (2), French, na Kruger nkewa, mba ụwa, nke Òtù Ahụ Ike Ụwa (WHO) kwadoro. A ga-egosipụta nhazi ọkwa eji na nsonaazụ ya.

Usoro abụọ a depụtara ihe ọjọọ niile achọtara na opekempe 100 spermatozoa, mana nwere usoro dị iche:

  • Nhazi nke Kruger na-achọpụta klaasị 4 nke anomalies n'usoro dị mkpa: anomalies gbasara acrosome (akụkụ n'ihu isi), nke isi, nke etiti na nke flagellum. Ọ na-ewe naanị otu anomaly n'otu n'ime klaasị anọ maka spermatozoon ka ewee ya dị ka "ụdị atypical";
  • Nhazi nke David gbanwere na-achọpụta anomalies 7 nke isi ( elongated, thinned, microcephalic, macrocephalic, multiple head, na-egosi ihe na-adịghị mma ma ọ bụ na-anọghị acrosome, na-egosi ihe na-adịghị mma), 3 anomalies nke etiti akụkụ (ọnụnọ nke cytoplasmic residue, obere eriri afọ, angulated) na 5. anomalies flagellum (adịghị, mkpirisi mkpirisi, ihe nlegharị anya na-adịghị agafe agafe, mkpuchi na otutu) na tebụl ntinye okpukpu abụọ.

Ọnụ ụzọ nke ụdị ụdị a na-adịkwa iche dabere na nhazi ọkwa abụọ ahụ. Dị ka Kruger nhazi ọkwa, a na-ekwu na sperm morphology bụ ihe nkịtị mgbe mmadụ hụrụ na ọ dịkarịa ala 4% nke spermatozoa nkịtị, megide 15% dị ka David gbanwetụrụ. N'okpuru ebe a, anyị na-ekwu maka teratospermia (ma ọ bụ teratozoospermia), ihe na-adịghị mma nke spam nke nwere ike ibelata ohere ịtụrụ ime.

Otú ọ dị, spermogram na-adịghị ahụkebe na-achọkarị nlele nke abụọ na ọnwa 3 (ogologo oge nke usoro spermatogenesis bụ ụbọchị 74), n'ihi na ọtụtụ ihe (nrụgide, ọrịa, wdg) nwere ike gbanwee ngwa ngwa spermatic parameters.

N'ọnọdụ nke teratozoospermia pụtara, enwere ike ịnye di na nwunye ahụ IVF-ICSI (in vitro fatịlaịza na intracytoplasmic injections). Usoro AMP a gụnyere ịgbanye otu spam, nke ahọpụtara na mbụ ma kwado ya, ozugbo n'ime cytoplasm nke oocyte tozuru okè.

Nkume a-aza